Secondary Hypertension and Bariatric Surgery
Classified in Medicine & Health
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Secondary Hypertension
Causes of Secondary Hypertension
- Renal: Stenosis, PCKD, Obstruction
- Endocrine: Cushing's syndrome, Adrenogenital syndrome, Pheochromocytoma, Acromegaly
- Aorta Coarctation
- Other: Thyroid disorders, Hypercalcemia
Red Flags in Secondary Hypertension
- Hypokalemia
- Early age of onset
- Patient over 50 years old
- High severity
- Refractory to therapy
- Increased paroxysmal blood pressure
- Absence of obesity
Pheochromocytoma
Diagnosis
- Plasma metanephrine level
- Urine free catecholamine
- Ultrasound/CT
- MIBG In-111
Cushing's Syndrome
Diagnosis
- 24-hour urine cortisol
- 1 mg dexamethasone suppression test (screening)
- 8 mg dexamethasone suppression test
- Cortisol circadian rhythm
- Laboratory tests: Increased hematocrit/hemoglobin, decreased eosinophils
- Sinus/petrous imaging